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ORDER FORM Page of All orders received before 12:00 noon Pacific time will be considered same day orders. Company Name: Ship to: Ordered By (Name): Order Date: Street: Side Mark: Account#: City: State: Zip: Phone: PO#: Ship to Phone (If by Truck): Delivery Location: Business: Residential: Ship Via: FedEx Ground: 3 Day: 2 Day: Overnight: Truck: Will Call: Other: Quality and Elegance Shipped Faster Express It! finishes are shipped the next business day while Quicken It! finishes are shipped within 3 business days. Rod Connector* Quantity Finial / End Cap Ring Bracket Xpress Yourway Finish Diameter Length (Inches) Quantity Product# Quantity Product# Quantity Product# Quantity Express It! Quicken It! BLK BRN LTBRN NNKL PCHR BNKL ANT BRZ SPWTR ANT GLD PWHT BLK BRN LTBRN NNKL PCHR BNKL ANT BRZ SPWTR ANT GLD PWHT BLK BRN LTBRN NNKL PCHR BNKL ANT BRZ SPWTR ANT GLD PWHT * The maximum length for unspliced rods is 120" for Iron Art™ and 106" for Italian. Rods over 106" that are not specified as one piece will automatically be spliced to save on shipping charges, and a connector charge will be added. Splices are placed in the center unless another location is otherwise noted. Rods over 106" can only be shipped via common carrier (truck line). Socket Xpress Yourway Finish Tieback Xpress Yourway Finish Baton Xpress Yourway Finish Product# Qty. Express It! Quicken It! Product# Qty. Express It! Quicken It! Product# Qty. Express It! Quicken It! BLK BRN LTBRN NNKL ANT BRZ SPWTR ANT GLD PWHT BLK BRN LTBRN NNKL ANT BRZ SPWTR ANT GLD PWHT BLK BRN LTBRN NNKL PCHR BNKL ANT BRZ SPWTR ANT GLD PWHT BLK BRN LTBRN NNKL ANT BRZ SPWTR ANT GLD PWHT BLK BRN LTBRN NNKL ANT BRZ SPWTR ANT GLD PWHT BLK BRN LTBRN NNKL PCHR BNKL ANT BRZ SPWTR ANT GLD PWHT BLK BRN LTBRN NNKL ANT BRZ SPWTR ANT GLD PWHT BLK BRN LTBRN NNKL ANT BRZ SPWTR ANT GLD PWHT BLK BRN LTBRN NNKL PCHR BNKL ANT BRZ SPWTR ANT GLD PWHT Iron Art Line Finishes : Black (BLK), Brown (BRN), Light Brown (LTBRN), New Nickel (NNKL), Antique Bronze (ANT BRZ), Antique Gold (ANT GLD), Soft Pewter (SPWTR), Pure White (PWHT) Italian Line Finishes : Polished Chrome (PCHR), Brushed Nickel (BNKL)

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Page 1: Quality and Elegance Shipped Faster ORDER FORM Page of

ORDER FORM Page of .

All orders received before 12:00 noon Pacific time will be considered same day orders.

Company Name: Ship to:

Ordered By (Name): Order Date: Street:

Side Mark: Account#: City: State: Zip:

Phone: PO#: Ship to Phone (If by Truck):

Delivery Location: Business: ☐ Residential: ☐ Ship Via: FedEx Ground: ☐ 3 Day: ☐ 2 Day: ☐ Overnight: ☐ Truck: ☐ Will Call: ☐ Other:

Quality and Elegance Shipped Faster

Express It! finishes are shipped the next business day while Quicken It! finishes are shipped within 3 business days.

Rod Connector* Quantity

Finial / End Cap Ring Bracket Xpress Yourway Finish

Diameter Length (Inches) Quantity Product# Quantity Product# Quantity Product# Quantity Express It! Quicken It!

☐ blk ☐ brn

☐ ltbrn ☐ nnkl

☐ pchr ☐ bnkl

☐ ant brz ☐ spwtr

☐ ant gld ☐ pwht

☐ blk ☐ brn

☐ ltbrn ☐ nnkl

☐ pchr ☐ bnkl

☐ ant brz ☐ spwtr

☐ ant gld ☐ pwht

☐ blk ☐ brn

☐ ltbrn ☐ nnkl

☐ pchr ☐ bnkl

☐ ant brz ☐ spwtr

☐ ant gld ☐ pwht

* The maximum length for unspliced rods is 120" for Iron Art™ and 106" for Italian. Rods over 106" that are not specified as one piece will automatically be spliced to save on shipping charges, and a connector charge will be added. Splices are placed in the center unless another location is otherwise noted. Rods over 106" can only be shipped via common carrier (truck line).

Socket Xpress Yourway Finish Tieback Xpress Yourway Finish Baton Xpress Yourway Finish

Product# Qty. Express It! Quicken It! Product# Qty. Express It! Quicken It! Product# Qty. Express It! Quicken It!

☐ blk ☐ brn

☐ ltbrn ☐ nnkl

☐ ant brz ☐ spwtr

☐ ant gld ☐ pwht

☐ blk ☐ brn

☐ ltbrn ☐ nnkl

☐ ant brz ☐ spwtr

☐ ant gld ☐ pwht

☐ blk ☐ brn

☐ ltbrn ☐ nnkl

☐ pchr ☐ bnkl

☐ ant brz ☐ spwtr

☐ ant gld ☐ pwht

☐ blk ☐ brn

☐ ltbrn ☐ nnkl

☐ ant brz ☐ spwtr

☐ ant gld ☐ pwht

☐ blk ☐ brn

☐ ltbrn ☐ nnkl

☐ ant brz ☐ spwtr

☐ ant gld ☐ pwht

☐ blk ☐ brn

☐ ltbrn ☐ nnkl

☐ pchr ☐ bnkl

☐ ant brz ☐ spwtr

☐ ant gld ☐ pwht

☐ blk ☐ brn

☐ ltbrn ☐ nnkl

☐ ant brz ☐ spwtr

☐ ant gld ☐ pwht

☐ blk ☐ brn

☐ ltbrn ☐ nnkl

☐ ant brz ☐ spwtr

☐ ant gld ☐ pwht

☐ blk ☐ brn

☐ ltbrn ☐ nnkl

☐ pchr ☐ bnkl

☐ ant brz ☐ spwtr

☐ ant gld ☐ pwht

Iron Art Line Finishes : Black (blk), Brown (brn), Light Brown (ltbrn), New Nickel (nnkl), Antique Bronze (ant brz), Antique Gold (ant gld), Soft Pewter (spwtr), Pure White (pwht)Italian Line Finishes : Polished Chrome (pchr), Brushed Nickel (bnkl)

MargieF
Typewritten Text
fax to Porter Preston at 203-897-8827 or email customer [email protected]